Gallegos, Misty Jo
Gallegos, Misty Jo is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. She recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Neonatal Intensive Care. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Gallegos, Misty Jo can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
2600 Greenbush St
Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 28152890A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 71014809A | Indiana |
Nursing Service Providers / Registered Nurse | 163W00000X | 28152890A | Indiana |
Nursing Service Providers / Neonatal Intensive Care | 163WN0002X | 28152890C | Indiana |
Nursing Service Providers / Registered Nurse | 163W00000X | 604722 | California |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 28152890A | Indiana |
Profile Details
NPI number | 1629796982 |
---|---|
LBN Legal business name | Gallegos, Misty Jo |
Credentials | APRN, CPNP-PC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2022 |
Last updated | Jan 16th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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